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JUSTIN WALLIS
NPI 1467048405
Peer Specialist in Oklahoma City, OK

Active since December 14, 2020
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139(405) 634-4400 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Justin Wallis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN WALLIS (NPI 1467048405) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1467048405
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJUSTIN WALLIS
Location Address6100 S WALKER AVEOklahoma City, OK 73139-7026
Mailing Address1119 N Ellison AveOklahoma City, OK 73106-4605 · (682) 209-2273
Phone(405) 634-4400
Sole ProprietorNo
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1467048405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6100 S WALKER AVE, Oklahoma City, OK 73139
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGINA R THOMPSON
Counselor (Mental Health)
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-4400
YOLANDA B KING
Peer Specialist
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 510-3847
FRANCIS LAURAINE CAMPBELL
Case Manager/Care Coordinator
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-4400
VICTORIA MARIE HOLMES
Case Manager/Care Coordinator
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-4400
SARAH M BUGG
Counselor (Mental Health)
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-4400
HELEN JACKSON- COLLINS
Peer Specialist
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 339-3487
GORGE PASILLAS CASE MANAGER
Case Manager/Care Coordinator
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-4400
JOSHUA FLINNER
Counselor (Mental Health)
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Wallis's NPI number?

The NPI number for Justin Wallis is 1467048405. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Justin Wallis located?

Justin Wallis practices at 6100 S Walker Ave, Oklahoma City, OK 73139. The listed phone number is (405) 634-4400.

What is Justin Wallis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Justin Wallis was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.